Individual
MS. DEANNA KAY DAHLEM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, RD, BC-ADM, CDE
Contact information
Practice address
1178 KINOOLE ST, HILO, HI 96720-7206
(808) 934-3204
(808) 961-4795
Mailing address
1178 KINOOLE ST, HILO, HI 96720-7206
(808) 934-3204
(808) 961-4795
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
957315
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
C03168
MEDICARE GROUP
MS
Enumeration date
01/09/2007
Last updated
04/07/2014
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